Accent Endocrinology

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Cytological Adequacy Assessment

In-house assessment of sample size ensures enough cells are collected during FNA at Gainesville’s AccentMD

Thyroid fine needle aspiration (FNA) is an accurate and relatively precise tool for the diagnosis of thyroid malignancy.

First, a small needle is inserted just under the skin (guided by ultrasound imaging). A sampling of cells from the target nodule is taken. These cells are then evaluated for cancerous tissue.

The number of thyroid cells available for evaluation sometimes limits the results of the FNA biopsies. Previously, several needle passes had to be performed to limit the chances of an insufficient sample - if the sample isn’t sufficient, it would then require you to repeat the entire process.

A better solution to this problem of an insufficient sample is for endocrinologists to perform cytological adequacy assessment of the FNA samples in-office. Slides are prepared and stained, and our endocrinologist can review them microscopically to determine if an adequate number of cells were obtained.

A cytology adequacy assessment benefits both you and the endocrinologist by ensuring the sample is adequate while you are still in the office and before it’s sent off to the lab. Because of the cytology adequacy assessment, you will not have to worry about interrupting your schedule to return to the office to repeat the test due to an inadequate sample size.

Fine-needle aspiration (FNA) of the thyroid has been recognized as a first-line screening test for patients with thyroid nodules. As a result of FNA, more thyroid cancers are diagnosed at an early stage. The earlier a problem is caught, the better the chances for a positive outcome for you.

Because diagnoses and diagnostic categories were defined differently between institutions and even individuals in the same institution, standardized terminology for the cytologic diagnosis of thyroid FNA was needed, especially for use of certain categories of diagnosis.

Thus, a uniform approach for the reporting of thyroid cytology was developed for the assessment of specimen adequacy, diagnostic criteria, and reporting format. The result included six diagnostic categories for thyroid FNA cytology:

1. Unsatisfatory
2. Benign
3. Cellular follicular lesion
4. Follicular neoplasm (FN)
5. Suspicious for malignancy
6. Positive for malignancy

Fine needle aspiration biopsy is a diagnostic procedure used to assess thyroid nodules and lymph nodes in the neck to check for lumps, masses, or other signs of thyroid cancer. Because an FNA biopsy is safer and less invasive than open surgical biopsies, it is a common technique doctors used to investigate and diagnose thyroid diseases and disorders for those suffering from symptoms associated with thyroid disorders.

We are confident that our team of Endocrine and ENT physicians will provide you with the most up-to-date treatments available for your thyroid problem. Each of our endocrinologists are Fellowship trained, with expertise in real-time bedside Ultrasound examinations of the thyroid gland.
Please contact us at our Gainesville thyroid clinic if you have questions or would like to make an appointment.

Site summary

Gainesville Florida Endocrinologists


Diabetes Doctors and Thyroid Specialists


Find Board Certified Endocrinologists at Accent Endocrinology Services in Gainesville, Florida. Our endocrinologist doctors, thyroid specialists, and diabetologists diagnose and treat hormonal imbalance and diseases of the endocrine system including thyroid diseases, thyroid weight gain, diabetes, osteoperosis, osteomalacia, hypertension, cholesterol/lipid disorders, etc.

Gainesville Thyroid Doctors & Diabetologist

Our medical staff consists of top thyroid doctors and nurses in Florida who are board certified and specilize in endocrinology, metabolism and diabetes. Our thyroid specialists and diabetes doctors will provide you with in-depth evaluations, treatments and management of your endocrine needs. Patients throughout North Central Florida including Gainesville, Ocala, Lake City, and Tallahassee are referred to us for thyroid evaluation, thyroid ultrasound, thyroid nodule biopsy, thyroid cancer treatment and a wide spectrum of endocrine disorders.

Endocrinology Services

Accent's board certified endocrinologists and diabetes doctors specialize in the management of thyroid diseases that include hyperthyroidism (overactive much thyroid hormone), hypothyroidism (underactive thyroid hormone), non-cancerous thyroid disease and thyroid cancer.

Thyroid Ultrasound - A lump or abnormal growth in the thyroid gland is called thyroid nodule. At Accent Endocrinology, we offer thyroid nodule ultrasound, a simple and painless technology, that uses harmless sound wave technology (no radiation exposure) to generate images of the thyroid and surrounding structures. Thyroid nodules and cysts are measured and detailed descriptions of their characteristics are recorded. For thyroid cancer patients, we perform a review of the surrounding lymph nodes to help determine if the cancer has spread to these lymph nodes. Our exams are performed by our thyroid specialists and endocrinologists. This allows immediate evaluation, interpretation, and discussion with the patient incorporating the patient's clinical situation.

Neck Ultrasound

Glucose Monitoring

Our team of endocrinologists is ready to help provide better care for your health. Please contact Accent Endocrinology department today to get started.

Accent Physician Specialists: Florida Physician Specialists

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